My Experience...

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Faebinder

Slow Wave Smurf
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I took step 3 over christmas. First day 22 and second on the 27. Wow this test blows.

Day 1: 5 office passages and 2 ER/Inpatient. WTH is up with the ethics questions and some of the office questions were so far fetched medicine. Things like someone coming for gender identity issues and lesbians wanting to have kids and nurses grabbing you on the floor to see patients not yours. The ER/Inpatient were the worst, there was absolutely no time to read the question and answer. The questions are all long, all have many test results and many negative exams. I felt most of the ER/Inpatient were pretty much testing your sixth sense, where do you sense the diagnosis will be and thus the treatment. You have to "sense" where the damn scenario is taking you cause you dont have the time to sit down and pile the symptoms in your head. Moral of this story: the exam is mostly office but those ER/Inpatient passages will kill you. I saw at least 5 rash pictures if not more. I saw 3 eye pictures. Only a handful of EKGs and frankly they were simple. (What a waste, you'd think they would like to test you on the ACLS protocol eh?) This day can officially be labeled: "OBGYN and Screens". At least a quarter of the questions were OBGYN (Clinic+Inpatient+ER).

Day 2: Shorter passages. 2 office and 2 inpatient/ER. This time the office killed me cause they were OUT THERE. Question that asked the about the third in line risk for athrosclerosis or what would have made the patient the way he is today. What is this, an epidemiology exam? The ER/inpatient did the same damage as the day before. I am so pissed at the passages cause they honestly don't test medical knowledge... I suppose that's step 2 "CK". They test you on your third eye in medicine. The 9 CCS cases were a joke to me. I studied my butt off for CCS and it definitely helped. They even tried to trick me three times (twice giving me a patient that needs to be inpatient or ER and the other giving me a postop complication which is classic in my fellowship :laugh:)

So many subjects didnt come up like TTP, antibodies of immune diseases, barely endocrine at all. I felt that the exam was rediculous. Thank God for the CCS... I'm banking on it to kick my score up. I am honestly not surprised so many people fail this test. It's nothing like step 2.
 
That's the best laugh I've had in days. Thanks. But sitting in the library right now and chuckling out loud is going to raise a few eyebrows, so "high ho high ho it's back to the USMLE I go".

Thanks again for the laugh. Much needed and appreciated.
 
first of all, you are absolutely hilarious. i loved your review. i wihs there were more like it her on SDN. the best line hands down is "...some of the office questions were so far fetched medicine. Things like someone coming for gender identity issues and lesbians wanting to have kids and nurses grabbing you on the floor to see patients not yours." LOVED IT! :laugh:

thanks so much for sharing - more power to you for splitting it up like that (5 days in between?! good lord!) 😱
 
more power to you for splitting it up like that (5 days in between?! good lord!)

My guess is that it was not up to the original poster to have a five day split. It most likely had to do with the Christmas break.

I only hope that s/he was informed of that possibility before the actual event. Five days in between, I would guess, would be more stressful for most, than the usual scheduling format of two days back to back.
 
I picked the christmas break to get a few days inbetween cause i wanted to use those days to relax and study the CCS. I could have gotten two weeks if i chose tohave the first on the 27th.. but i think that would have been harmful.

I dont know my results yet... i have so many vivid questions in my head.. it's sad.

I did USMLEWORLD once + first aid....

then NBME showed i sucked...

so i did USMLESTEP123 once and the CS part as well...

then the NBME showed i improved but i still sucked...

So i attacked weaknesses: Did blue print question and answer of OBGYN and peds... then did Kaplan videos (glad i did) + usmleworld a second time (glad i did)...

nbme showed i am better but i still blow...

so i reviewed nbme questions (glad i did) and i went half way through crush.

i did fisher's ethical questions as well btw once...

I bet i got high 70s...I am glad to entertain you.. part 2 will come up once i know my results.. maybe i will then reveal my cases.
 
Yikes, dude, why break it up over that many days? Just get it over with! 🙂

Holidays can break up your days. I found out the hard way when I took Step III over Labor Day weekend during my PGY-1 year. I just wanted to get that exam out of the way and ended up having three days in between Exam Day 1 and Exam Day 2. It was a real PITA just like the exam itself. Still, I ended up getting a long Labor Day weekend because there was no way I was going to study after Day 1.
 
Holidays can break up your days. I found out the hard way when I took Step III over Labor Day weekend during my PGY-1 year. I just wanted to get that exam out of the way and ended up having three days in between Exam Day 1 and Exam Day 2. It was a real PITA just like the exam itself. Still, I ended up getting a long Labor Day weekend because there was no way I was going to study after Day 1.

Ouch!

You're right, Step 3 is a royal PITA. I didn't study after the first day, instead choosing to relax at home with a few beverages of choice. 👍
 
I had to take the test at a location a little bit of a drive away so I stayed in a hotel. After day 1 I took a nap, had some dinner, and made sure to do the practice CCS cases on the CD. Then i watched TV all evening. Glad I didn't put more into it than that.
 
Wow got my results back.. I passed. 😱

Same score as step I and II exactly (1 point more than step 1 and 2 on the three digit score but the same two digit). Wow am I consistently stupid or what?😎😎

My cases btw:

1) First time DM and HTN in the office.
2) Sickle Cell teen with Biliary Colic in the office.
3) Infant with Jaundice from spherocytosis and low HgB.
4) Postmenopausal bleeding and incidental finding of Vulvar Cancer.
5) Inpatient post Sigmoid resection for colon cancer atalectasis.
6) Incomplete Abortion in the ER.
7) Sigmoid Cancer in the office.
8) SOB in the office turns out he has Thoracic Dissection. (I forgot to check him for syphilis!)
9) Squamous Lung Cancer for a smoker.

My weakest was inpatient... beware that folks. It only has a small percentage of questions but if you leave it you will not score high... so knock it good.

My prep: First Aid then USMLE WORLD then USMLEstep123 then Blue Prints Q&A OBGYN and Peds then Fisher's Ethics then Kaplan DVDs then Some Crush Step 3 with USMLE WORLD again... Kept upping my score on NBME.. 330 to 360 and finally i actually went through the answers for the NBME (grateful that I did).

If you prep well enough you should get the typical score you get from your past steps. This was the most difficult test of them all in my opinion and if you ask me what you would have done to prepare better I would have been clueless... maybe more ER drug overdose (cause i got a lot of those) and more inpatient geriatrics. The problem is that inpatient geriatrics seems to be an art and not a science. 😡

Good luck everyone.
 
Thank you, ya it came via email telling me to go to the website to check it.

Someone posted them done by some higher ups in nbme. I am very grateful for getting them. I got at least 3 questions of similar concepts.
 
These were my cases:
1. GSW abdomen
2. Ruptured cerebral aneurysm
3. UTI in a pregnant woman
4. Rheumatoid arthritis
5. Dysfunctional uterine bleeding
6. Tension pneumothorax
7. Hypothyroidism
8. Aortic dissection
9. Foreign body aspiration

The aneurysm was actually pretty tricky - it came in with a presentation that could easily take you down a totally different path if you don't think to check a head CT.
 
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